Monstrous Conceptions: A History of Race, Disability, and Reproductive Medicine in the United States

Author:   Miriam Rich
Publisher:   Columbia University Press
ISBN:  

9780231200325


Pages:   336
Publication Date:   07 July 2026
Format:   Hardback
Availability:   Awaiting stock   Availability explained
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Monstrous Conceptions: A History of Race, Disability, and Reproductive Medicine in the United States


Overview

In the nineteenth century, American medical practitioners helped craft a new science of monsters. The term ""monstrous birth"" had long been applied to newborns with congenital conditions such as anencephaly. When practitioners redefined ""monstrosity"" in scientific terms, they claimed to be stripping away its fraught connotations. Instead, recast as a biological phenomenon, the monster gained new social and cultural salience. Monstrosity gave form to pervasive ideas about the meaning of racial difference, the fragility of racial order, and the peril of racial degeneration. Miriam Rich explores the history of monstrosity as a modern scientific category, tracing the practices that transformed newborn bodies into medical specimens across the nineteenth- and early twentieth-century United States. Monstrous Conceptions vividly examines experiences of pregnancy, birth, and postpartum care; the preparation and display of anatomical specimens; and the production and circulation of scientific knowledge. It shows how diverse laywomen and their families engaged with medical meaning making even as predominantly white, male practitioners increasingly sought to assert authority over reproduction. Rich also reveals how the nineteenth-century category of biological monstrosity helped lay the groundwork for the American eugenics movement-and contributed to ideas about deviant and defective bodies that still haunt us today. Shedding new light on intertwined historical conceptions of race, sex, and disability, Monstrous Conceptions illuminates how medical science produced enduring notions of human difference.

Full Product Details

Author:   Miriam Rich
Publisher:   Columbia University Press
Imprint:   Columbia University Press
ISBN:  

9780231200325


ISBN 10:   0231200323
Pages:   336
Publication Date:   07 July 2026
Audience:   Professional and scholarly ,  College/higher education ,  Professional & Vocational ,  Postgraduate, Research & Scholarly
Format:   Hardback
Publisher's Status:   Active
Availability:   Awaiting stock   Availability explained
The supplier is currently out of stock of this item. It will be ordered for you and placed on backorder. Once it does come back in stock, we will ship it out for you.

Table of Contents

Reviews

Engaging with an ambitious array of sources, Rich carefully analyzes ideas about race, reproduction and disability embedded in the medical profession’s use of the term “monstrous.” Attending to medical discourse and laypeople’s lived experience alike, Monstrous Conceptions offers a nuanced look at medical meaning making. This book offers exciting new material to audiences across a range of disciplines and speaks to cutting-edge scholarship on race, gender, and disability. -- Sharla M. Fett, author of <i>Working Cures: Healing, Health, and Power on Southern Slave Plantations</i> With exquisite prose and exhaustive research, this riveting study illuminates how ideas about race, sex, and disability shaped the medical category of monstrosity. Monstrous Conceptions stands out for its deft navigation of fraught ideas, and for its perceptive, and even visionary, theorizations of the reproductive body and its offspring. This is a poignant, vivid, and brilliant book. -- Elizabeth O'Brien, author of <i>Surgery and Salvation The Roots of Reproductive Injustice in Mexico, 1770–1940</i> This is a brilliant piece of scholarship that is critically needed, especially as the United States grapples with issues of conception, reproductive justice, disability rights, and bio-medical ethics in a post-Roe v. Wade America. -- Deirdre Cooper Owens, author of <i>Medical Bondage: Race, Gender, and the Origins of American Gynecology</i>


Engaging with an ambitious array of sources, Rich carefully analyzes ideas about race, reproduction, and disability embedded in the medical profession’s use of the term “monstrous.” Attending to both medical discourse and laypeople’s lived experience, Monstrous Conceptions offers a nuanced look at medical meaning making. This book offers exciting new material to audiences across a range of disciplines and speaks to cutting-edge scholarship on race, gender, and disability. -- Sharla M. Fett, author of <i>Working Cures: Healing, Health, and Power on Southern Slave Plantations</i> With exquisite prose and exhaustive research, this poignant study illuminates how ideas about race, sex, and disability shaped the medical category of monstrosity. Vividly rendered, Monstrous Conceptions stands out for its deft navigation of fraught ideas and for its perceptive, and even visionary, theorizations of the reproductive body and its offspring. -- Elizabeth O'Brien, author of <i>Surgery and Salvation: The Roots of Reproductive Injustice in Mexico, 1770–1940</i> This is a brilliant piece of scholarship that is critically needed, especially as we grapple with issues of conception, reproductive justice, disability rights, and biomedical ethics in a post–Roe v. Wade United States. -- Deirdre Cooper Owens, author of <i>Medical Bondage: Race, Gender, and the Origins of American Gynecology</i>


Author Information

Miriam Rich is a historian and the James Wade Rockwell Assistant Professor of Philosophy of Medicine at the University of Texas Medical Branch.

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